PMID- 30885963 OWN - NLM STAT- MEDLINE DCOM- 20200408 LR - 20220129 IS - 1468-2044 (Electronic) IS - 0003-9888 (Print) IS - 0003-9888 (Linking) VI - 104 IP - Suppl 1 DP - 2019 Apr TI - Rating early child development outcome measurement tools for routine health programme use. PG - S22-S33 LID - 10.1136/archdischild-2018-315431 [doi] AB - BACKGROUND: Identification of children at risk of developmental delay and/or impairment requires valid measurement of early child development (ECD). We systematically assess ECD measurement tools for accuracy and feasibility for use in routine services in low-income and middle-income countries (LMIC). METHODS: Building on World Bank and peer-reviewed literature reviews, we identified available ECD measurement tools for children aged 0-3 years used in >/=1 LMIC and matrixed these according to when (child age) and what (ECD domains) they measure at population or individual level. Tools measuring <2 years and covering >/=3 developmental domains, including cognition, were rated for accuracy and feasibility criteria using a rating approach derived from Grading of Recommendations, Assessment, Development and Evaluations. RESULTS: 61 tools were initially identified, 8% (n=5) population-level and 92% (n=56) individual-level screening or ability tests. Of these, 27 tools covering >/=3 domains beginning <2 years of age were selected for rating accuracy and feasibility. Recently developed population-level tools (n=2) rated highly overall, particularly in reliability, cultural adaptability, administration time and geographical uptake. Individual-level tool (n=25) ratings were variable, generally highest for reliability and lowest for accessibility, training, clinical relevance and geographical uptake. CONCLUSIONS AND IMPLICATIONS: Although multiple measurement tools exist, few are designed for multidomain ECD measurement in young children, especially in LMIC. No available tools rated strongly across all accuracy and feasibility criteria with accessibility, training requirements, clinical relevance and geographical uptake being poor for most tools. Further research is recommended to explore this gap in fit-for-purpose tools to monitor ECD in routine LMIC health services. CI - (c) Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Boggs, Dorothy AU - Boggs D AD - Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK. AD - International Centre for Evidence in Disability, London School of Hygiene and Tropical Medicine, London, UK. FAU - Milner, Kate M AU - Milner KM AD - Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK. AD - Murdoch Children's Research Institute, Melbourne, Victoria, Australia. FAU - Chandna, Jaya AU - Chandna J AD - Institute of Translational Medicine, University of Liverpool, Liverpool, UK. FAU - Black, Maureen AU - Black M AD - University of Maryland School of Medicine, Baltimore, Maryland, USA. AD - Research Triangle Park, RIT International, Durham, USA. FAU - Cavallera, Vanessa AU - Cavallera V AD - Department of Mental Health and Substance Abuse, World Health Organisation, Geneva, Switzerland. FAU - Dua, Tarun AU - Dua T AD - Department of Mental Health and Substance Abuse, World Health Organisation, Geneva, Switzerland. FAU - Fink, Guenther AU - Fink G AD - Swiss Tropical and Public Health Institute and University of Basel, Basel, Switzerland. FAU - Kc, Ashish AU - Kc A AD - International Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. FAU - Grantham-McGregor, Sally AU - Grantham-McGregor S AD - Institute of Child Health, Faculty of Population Health Sciences, University College London, London, UK. FAU - Hamadani, Jena AU - Hamadani J AD - Maternal and Child Health Division, International Centre for Diarrhoeal Disease Research, Dhaka, Bangladesh. FAU - Hughes, Rob AU - Hughes R AD - Children's Investment Fund Foundation, London, UK. AD - Maternal & Child Health Intervention Research Group, Department of Population Health, London School of Hygiene and Tropical Medicine, London, UK. FAU - Manji, Karim AU - Manji K AD - Department of Paediatrics and Child Health, Muhimbili University of Allied Health Sciences, Dar es Salaam, Tanzania. FAU - McCoy, Dana Charles AU - McCoy DC AD - Harvard Graduate School of Education, Harvard University, Massachusetts, USA. FAU - Tann, Cally AU - Tann C AUID- ORCID: 0000-0003-0131-4952 AD - Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK. AD - Neonatal Medicine, University College Hospitals NHS Trust, London, UK. FAU - Lawn, Joy E AU - Lawn JE AD - Maternal, Adolescent, Reproductive and Child Health Centre, London School of Hygiene and Tropical Medicine, London, UK. LA - eng GR - 001/WHO_/World Health Organization/International PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Arch Dis Child JT - Archives of disease in childhood JID - 0372434 SB - IM EIN - Arch Dis Child. 2020 Feb;105(2):e3. PMID: 31806617 MH - Age Factors MH - *Child Development MH - Child Health Services/organization & administration/*standards MH - Child, Preschool MH - Humans MH - Infant MH - Infant, Newborn MH - Models, Theoretical MH - Outcome Assessment, Health Care/organization & administration/*standards PMC - PMC6557219 OTO - NOTNLM OT - early child development tools OT - health systems OT - low and middle income countries OT - maternal, newborn and child health OT - metrics COIS- Competing interests: The following authors on this paper have intellectual inputs and leadership roles for some of the tools reviewed: MDAT (JC), IYCD (VC, TD) and CREDI (DCM and GF). None of these authors rated any of these tools. EDAT- 2019/03/20 06:00 MHDA- 2020/04/09 06:00 PMCR- 2019/06/10 CRDT- 2019/03/20 06:00 PHST- 2018/11/01 00:00 [received] PHST- 2019/01/23 00:00 [revised] PHST- 2019/01/28 00:00 [accepted] PHST- 2019/03/20 06:00 [entrez] PHST- 2019/03/20 06:00 [pubmed] PHST- 2020/04/09 06:00 [medline] PHST- 2019/06/10 00:00 [pmc-release] AID - archdischild-2018-315431 [pii] AID - 10.1136/archdischild-2018-315431 [doi] PST - ppublish SO - Arch Dis Child. 2019 Apr;104(Suppl 1):S22-S33. doi: 10.1136/archdischild-2018-315431.